Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $84.72 / $469.34	Facility		$22.34	$84.72	$469.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $81.19 / $84.72	Professional		$34.53	$81.19	$84.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $3,389.00 / $3,766.00	Facility		$3,013.00	$3,389.00	$3,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $23.60 / $35.19	Professional		$20.05	$23.60	$35.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $100.18 / $104.64	Facility		$75.70	$100.18	$104.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $103.89 / $122.45	Professional		$72.54	$103.89	$122.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.45 / $95.45 / $95.45	Facility		$95.45	$95.45	$95.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $42.55 / $116.09	Professional		$17.63	$42.55	$116.09
United Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $47.10 / $77.41	Professional		$26.79	$47.10	$77.41